Eat Right for Long Life

描述(申请人提供)：许多负面因素影响智障成年人的饮食习惯：家庭、工作、社区和电视上的不良榜样；鼓励不健康饮食习惯的环境；食物准备和自我倡导技能有限；以及改变不健康饮食行为的动力不足。我们建议开发一系列教学模块，在以下方面提高这些人的行为能力、自我效能和结果预期：在家中多吃水果、果汁、蔬菜和低脂食物(主要是零食)，增加FJV和LFF的可得性和可及性，增加他们对FJV和LFF的营养知识，扩大他们对这些食物的偏好，提高他们制作健康零食的技能，以及增加他们在快餐店和便利店购买FJV和LFF的数量。在第一阶段，我们成功地完成了课程的第一个模块--《水果彩虹》。用户评估的结果清楚地表明，该产品受到了我们所有目标消费群体(父母、直接支持人员和患有MR的成年人)的良好欢迎。他们一致认为这些材料具有刺激性、引人入胜、对目标人群有吸引力(做得好)和高度激励作用。跟踪电话的结果支持了这些评级，许多参与者继续使用视频和练习册。我们还完成了访谈工具和配套材料，用于与目标成年人和告密者进行面对面的访谈。第二阶段的主要目标是进行一项基于理论的干预的随机试验，以增加患有精神发育迟滞的成年人的FJV和LFF的消费量。研究环境将是这些人居住的居住设施。我们的样本将包括110名患有轻度到中度MR的成年人(Target成人[TA])和110名没有MR的成年人，他们将作为学习伙伴(LP)参与。为了评估患有轻中度MR的成年人是否会因为使用“长寿正确饮食”课程而增加他们对FJV/LFF的摄入量，我们将使用两组(干预/替代治疗对照)设计，在四个时间点(基线、基线+1个月、基线+2个月和退出)进行测量。干预组的参与者将获得“长寿饮食权利”课程。由于没有类似的针对智障成年人的营养课程来测试“长寿正确饮食”产品，控制组的参与者将收到来自Products for Better Health Foundation的精选材料。

DESCRIPTION (provided by applicant): Many negative factors influence the eating habits of adults with mental retardation: poor role models at home, work, in the community, and on TV; environments that encourage unhealthy eating habits; limited skills in food preparation and self-advocacy; and little incentive to change unhealthy eating behaviors. We propose to develop a series of instructional modules to increase behavioral capability, self-efficacy, and outcome expectations for these individuals in the following areas: eating more fruits, juice, vegetables and low fat foods (FJV&LFF) at home (primarily snacks), increasing FJV&LFF availability and accessibility, increasing their nutritional knowledge about FJV&LFF, expanding their preferences for these foods, increasing their skills in preparing healthy snacks, and increasing their purchases of FJV&LFF in fast food restaurants and convenience stores. In Phase I, we successfully completed the first module of the curriculum, "Fruit Rainbow." The results from the user evaluations clearly indicate that this product was very well received by all our targeted consumer groups (parents, direct support staff and adults with MR). They uniformly rated the materials as stimulating, engaging, well done for the target population, and highly motivational. Results from the follow up phone call support these ratings, with many of the participants continuing to use the video and workbook. We also completed an interview instrument and accompanying materials to be used for a face-to-face interview with the target adult and an informant. The primary goal of Phase II is to conduct a randomized trial of a theory-based intervention to increase consumption of FJV&LFF among adults with mental retardation. The research settings will be residential facilities where these individuals live. Our sample will consist of 110 adults with mild to moderate MR (Target Adults [TA]) and 110 adults without MR, who will participate as Learning Partners (LP). To evaluate whether adults with mild to moderate MR will increase their consumption of FJV/LFF as a result of using the "Eat Right for Long Life" curriculum, we will use a two-group (Intervention/Alternate Treatment Control) design with measurements at four time points (Baseline, Baseline +1 Month, Baseline + 2 Months and Exit). Participants in the Intervention Group will receive the "Eat Right for Long Life" curriculum. Since there is no comparable nutrition curriculum for adults with mental retardation against which to test the "Eat Right for Long Life" product, participants in the Control Group will receive selected materials from the Produce for Better Health Foundation.